Organization
GREAT LAKES FAMILY DENTAL GROUP - BAY CITY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA J HART (GENERAL MANAGER)
(810) 732-0200
Entity
Organization
Contact information
Practice address
1012 LAFAYETTE, BAY CITY, MI 48708
(989) 893-5711
(989) 893-5854
Mailing address
1012 LAFAYETTE, BAY CITY, MI 48708
(989) 893-5711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/28/2006
Last updated
08/22/2020
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